甲状旁腺手术前后正常钙血症甲状旁腺功能亢进症患者的肾结石风险

IF 0.9 Q4 ENDOCRINOLOGY & METABOLISM

Case Reports in Endocrinology Pub Date : 2024-07-17 eCollection Date: 2024-01-01 DOI:10.1155/2024/1252724

Jie Tang, Kamil Malshy, Gyan Pareek

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引用次数: 0

摘要

原发性甲状旁腺功能亢进症患者患肾结石的风险较高，这一点已得到充分证实；而正常钙血症原发性甲状旁腺功能亢进症（NPHPT）患者患肾结石的风险仍不明确。我们报告了一例重度特发性高钙尿症和NPHPT患者反复出现钙肾结石的病例。手术切除甲状旁腺腺瘤未能降低肾结石风险（基于24小时尿液检查）和肾结石负荷（基于超声检查）。这个独特的病例探讨了手术切除异位甲状旁腺腺瘤对NPHPT和复发性钙肾结石患者结石风险的影响。

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Kidney Stone Risk in Normocalcemic Hyperparathyroidism before and after Parathyroid Surgery.

The higher risk for kidney stone in patients with primary hyperparathyroidism is well-documented; stone risk in patients with normocalcemic primary hyperparathyroidism (NPHPT) remains unclear. We present a case of recurrent calcium kidney stones in a patient with severe idiopathic hypercalciuria and NPHPT. The surgical resection of the parathyroid adenoma failed to reduce kidney stone risk (based on the 24-hr urine study) and kidney stone burden (based on ultrasound). This unique case examines the impact of surgical resection of an ectopic parathyroid adenoma on stone risk in a patient with NPHPT and recurrent calcium kidney stones.

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来源期刊

Case Reports in Endocrinology ENDOCRINOLOGY & METABOLISM-

CiteScore

2.10

自引率

0.00%

发文量

审稿时长

13 weeks